위암 발견에 있어 철결핍 지표들의 유용성

정진모(Jin Mo Jung),한철주(Chul Ju Han),홍영준(Young Joon Hong),조현호(Hyun Ho Cho),김영호(Young Ho Kim),최대현(Dae Hyun Choi),조상형(Sang Hyung Cho),조광희(Kwang Hee Cho),김진(Jin Kim),정숙향(Sook Hyang Jung),김유철(You Choul Kim) 대한소화기학회 2002 대한소화기학회지 Vol.39 No.3

Background/Aims: Cancers of the gastrointestinal tract might cause chronic occult blood loss leading to iron deficiency. The aim of this study was to determine the usefulness of the tests for iron deficiency in detection of stomach cancer. Methods: Seventy one patients with advanced gastric cancer (AGC), 13 patients with early gastric cancer (EGC), and 104 patients with functional GI disorder (FGID) as a control were consecutively enrolled in this study. The test results for iron-deficiency parameters such as hemoglobin, serum ferritin, serum iron, total iron binding capacity, and transferrin-saturation rates were compared among the groups. Incidence of iron deficiency or anemia was compared among the groups. Results: The levels of hemoglobin, serum ferritin, serum iron, and the rates of transferrin saturation were significantly lower in the AGC group than in the control group. These differences were even marked in male patients. They were not significantly different between the EGC group and the control group. In male patients with AGC, the incidence of anemia or iron deficiency was markedly higher than the control group. Conclusions: In males over 50 years, tests for iron-deficiency parameters such as hemoglobin, serum ferritin, serum iron, and transferrin saturation might be helpful in detection of AGC. Further study is needed to reveal whether these tests are helpful in the early detection of stomach cancer. (Korean J Gastroenterol 2002;39:179-185)

전신부종과 심한 빈혈로 발현한 크론병 1 예

김영호(Young Ho Kim),정진모(Jin Mo Jung),조광희(Kwang Hee Cho),조상형(Sang Hyung Cho),조현호(Hyun Ho Cho),최대현(Dae Hyun Choi),한철주(Chul Ju Han),김진(Jin Kim),정숙향(Sook Hyang Jung),김유철(Yu Chul Kim),이진오(Jin Oh Lee),고재수(Jae 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2

Iron deficiency anemia and hypoproteinemia occur commonly in patients with Crohn's disease. They invariably have other clinical manifestations, principally abdominal pain, diarrhea and weight loss. However, severe anemia and hypoproteinemia as the sole presentation without any other clinical evidence to suggest Crohn's disease is extremely uncommon and raises a diagnostic problem. A 31-year-old man presented with generalized edema and dyspnea on exertion without any significant gastrointestinal symptoms. Hemoglobin level was 3.8 g/dL, and serum protein and albumin levels were 3.5 g/dL and 1.2 g/dL, respectively. Urinalysis finding was normal, and fecal clearance of α-1 antitrypsin increased markedly up to 873 mL/24 hr, suggesting severe protein loss through the gastrointestinal tract. A CT scan and small bowel barium study revealed lesions in the jejunum. Surgical resection corrected his problems, and pathological examination of the specimen proved to be Crohn's disease. (Korean J Gastroenterol 2002;39:128-132)

한ㆍ일 환경회계 가이드라인의 비교연구

전영승(Cheon Young Seung),정진향(Jung Jin Hyung) 한국국제회계학회 2005 국제회계연구 Vol.0 No.12

본 연구의 목적은 우리나라와 일본 환경회계 가이드라인을 비교ㆍ검토하고, 이를 바탕으로 우리나라 환경회계 가이드라인의 보완점을 제시하는 것이다. 연구목적을 달성하기 위하여 국내외 관련연구와 문헌을 조사하였다. 우리나라와 일본의 환경회계 가이드라인은 환경원가와 환경효익의 측정과 공시를 주요 내용으로 한다는 점에서 공통점이 있다. 그러나 우리나라 환경회계 가이드라인은 일본 환경회계 가이드라인에 비해 형식적으로나 내용적으로 미흡한 점이 많은 것으로 나타났다. 본 연구결과 우리나라 환경회계 가이드라인의 주요 보완점을 제시하면 다음과 같다. 첫째, 환경원가회계 가이드라인 보다는 환경회계 가이드라인이라는 명칭을 사용하여야 할 것이다. 둘째, Q&A나 용어해설집을 부록 혹은 참고자료집으로 첨부하여야 할 것이다. 셋째 우리 가이드라인 5장을 분리하여 공시의 전제조건은 1장으로 옮겨 환경회계정보특성으로, 활용의 전제조건은 좀 더 구체적인 분석지표를 추가하여 별도의 장으로 구성하면 좋을 것이다. 넷째, 환경효익의 분류를 세분화하고 가능한 측정방법을 제시하면 좋을 것이다. 다섯째, 환경회계정보를 공시하기 위한 양식을 표준화하여 제시하여야 할 것이다. 여섯째, 경영자에게 내부환경관리를 위한 정보를 제공할 수 있는 제도와 연결환경회계 도입 등도 적극 반영하여야 할 것이다. 끝으로 환경회계 가이드라인의 적합성을 높이기 위한 학계, 실무계, 정부 등 관련 전문가들로 구성된 「환경회계 가이드라인 개정위원회」(가칭)의 설치를 제안한다. The purpose of this study is to suggest the improvements of Environmental Accounting Guidelines 2004 in Korea To accomplish this objective, this study compared Korean environmental accounting guidelines with that of the Japan. They have a point of sameness that environmental accounting guidelines is composed of two key facets: measuring and disclosing of environmental costs and benefits. The main results of this study are summarized as follows. First, it is necessary to change the title from environmental cost accounting guidelines to environmental accounting guidelines. Second, it is necessary to prepare a Q & A or a glossary for understanding environmental accounting guidelines. Third, it is needed to classify into small groups of environmental benefits and to prepare the method for measuring it. Fourth, the standard format is required to disclosure the environmental accounting information. Fifth, it is necessary to introduce environmental management accounting and consolidated environmental accounting. Last, we propose the establishment of environmental accounting guidelines revision committee for continuous improvement of environmental accounting guidelines.

췌장두부암으로 오인된 간외 문맥류 1 예

조광희(Kwang Hee Cho),조상형(Sang Hyung Cho),조현호(Hyun Ho Cho),최대현(Dae Hyun Choi),한철주(Chul Ju Han),김진(Jin Kim),정숙향(Sook Hyang Jung),이병희(Byung Hee Lee),김영호(Young Ho Kim),정진모(Jin Mo Jung),김유철(You Choul Kim),이진 대한소화기학회 2002 대한소화기학회지 Vol.39 No.2

Reports of portal vein aneurysm are scattered in the literature. However, with the increased use of sonography, CT, MRI, it is found incidentally with greater frequency. Clinical presentation ranges from without symptom to hemobilia, hemoperitoneum, thrombosis, compression of adjacent structures, and spontaneous arteriovenous fistula. Sometimes, it is confused with a pancreatic head mass, raising a diagnostic problem. We report a case of extrahepatic portal vein aneurysm confused with pancreatic head cancer. A 45-year-old woman presented with weight loss of 10 kg, and ultrasonography and CT revealed a pancreatic head mass. Laparotomy was performed, but resection of the mass was impossible. Later review of the enhanced spiral CT and angiography revealed that the mass actually represented a portal vein aneurysm. Her condition has remained stable with just clinical observation. Portal vein aneurysm should be considered when there is an enhancing mass adjacent to the portal vein or superior mesenteric vein. (Korean J Gastroenterol 2002;39:137-141)

Non - B, Non - C 간세포암종의 임상적 특징과 B형 간염바이러스, C형 간염바이러스 및 TT Virus 바이러스혈증의 빈도

김영호,김창민,조광희,조현호,이진오,한철주,김유철,정숙향,이진혁,최대현,정진모,조상형 대한간학회 2001 Clinical and Molecular Hepatology(대한간학회지) Vol.7 No.4

Background/Aims: About 15% of Korean hepatocellular carcinoma(HCC) are negative both of Hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (anti-HCV)in their sera. They can be classified as a non-B, non-C hepatocellular carcinoma group(NBNC group). The aims of our study were, firstly, to describe the clinical characteristics of Korean NBNC HCC and compare them with those of HBsAg-positive HCC(HBV group) and anti-HCV-positive HVV(HCV group). Secondly we wanted to assess the frequency of viremia of HBV, HCV and transfusion-transmitted virus(TTV)in NBNC HCC patients. Methods : we prospectively collected clinical data and sera from 113 NBNC HCC patients and performed PCR for HBV DNA, HCV RNA and TTV DNA. We also collected clinical data from 125 HBsAg-positive HCC patients during a similar period. Results : The mean age of the NBNC HCC group was 59 years, in-between that of the HBV and the HCV groups. A History of heavy alcohol drinking was found in 48% of the NBNC HCC group. This was significantly higher than that of the HBV group, but similar to that of the HCV group. Serum α FP level in the NBNC HCC group was more frequently in the normal range compared to that in the HBV and HCV groups. The detection rates of HBV DNA, HCV RNA and TTV DNA in the NBNC HCC group were 17%, 13% and 67% respectively. Conclusions : The NBNC HCC patients seemed to comprise a heterogeneous group of various etiologies and clinical presentations. About one third of these patients displayed evidence of viremia of HBV or HCV.